针灸疾刺法治疗小儿湿疹疗效的观察

[目的]观察针灸疾刺法治疗小儿湿疹的临床疗效。[方法]选取湿疹患儿59例,按照随机数字表法随机分成针灸疾刺组和激素对照组。疾刺组选取曲池、合谷、血海、膈俞、天枢为主穴,采用针灸疾刺手法进行治疗,对照组采用丁酸氢化可的松乳膏局部涂抹,治疗7 d后根据皮损和瘙痒情况判定治疗效果。[结果]针灸疾刺组27例,治愈18例,显效4例,好转3例,无效2例,总有效率为92.6%;对照组32例,治愈13例,显效3例,好转8例,无效8例,总有效率为75.0%。[结论]针灸疾刺法能有效治疗小儿湿疹,为小儿湿疹的治疗拓展了思路,具有良好的临床应用前景。

疾刺法治疗坐骨神经痛66例疗效分析

目的:观察疾刺法治疗坐骨神经痛的临床疗效.方法:用疾刺法对66例坐骨神经痛患者进行治疗,观察其疗效.结果:经2～3个疗程,痊愈45例,显效10例,好转8例,无效3例,总有效率达95.5 %.结论:疾刺法治疗坐骨神经痛疗效显著,且具有留针时间短,患者痛苦小的优点,值得临床推广应用.

小儿湿疹中采取针灸疾刺法的临床疗效

目的分析对小儿湿疹患者采用针灸疾刺法治疗的临床疗效。方法对2016年7月至2017年7月本院收治的70例小儿湿疹患者进行观察,采用掷币法将患者分为参照组、研究组各35例,分别给予丁酸氢化可的松乳膏治疗、针灸疾刺法治疗。治疗2周,记录两组治疗效果。结果研究组总有效率明显高于参照组(P<0.05);研究组皮疹程度评分、皮疹面积评分较治疗前均有所改善且优于参照组(P<0.05)。结论针灸疾刺治疗能够有效缓解患儿临床症状,患儿耐受性好,不良反应少,复发率低,疗效安全可靠。

疾刺法对肌内注射刺入痛觉影响的分析

在农村，肌肉注射（肌注）是门诊最常见的治疗方法。已知“两快一慢”注射能有效降低肌注过程中的疼痛，其他影响肌注痛觉因素报道少见。部分极度畏针患者甚至难以实现肌注治疗。为了减轻肌注疼痛，我室采取疾刺法进针，有效降低了刺人时的痛觉，现将观察结果报告如下：

Forty Cases of Gastrointestinal Neurosis Treated by Acupunture

Objective： To compare the therapeutic effect of acupuncture for gastrointestinal neurosis with that of oral remedy. Methods： Eighty cases were randomly divided into the following 2 groups. In the treatment group, acupuncture was given for one month at the main points of Zhongwan （CV 12）, Zusanli （ST 36）, Taichong （LR 3） and Shenmen （HT 7）, with the auxiliary points selected according to TCM differentiation. In the control group, Domperidone was orally administered for one month. Results： The total effective rate was 92.5% in the treatment group and 75.0% in the control group, with a significant difference between the 2 groups 0（2=4.423, P〈0.05）. Acupuncture was superior to the oral remedy in therapeutic effects. Conclusions： Acupuncture may show better results for gastrointestinal neurosis and with less toxic side effects.

Analysis of Acupoints for Treating Nasal Conditions in Acupuncture Verses

Objective： To explore the rule of acupoints for treating nasal conditions in acupuncture verses. Method： The 20 acupuncture verses were selected to build a database, and data .were retrieved from the database with the key word of ＂nose＂, and comprehensive analysis was done basing on the search results. Results： In acupuncture verses, there were 12 verses referring to treatment of nasal conditions, including 22 acupoints prescription, in which 8 were repeated, involving 12 acupoints and 5 meridians. The major diseases included nasal bleeding, nasal polypus, rhinorrhoea and nasal obstruction. Conclusion： The characteristics of treating nasal conditions in acupuncture verses included selecting acupoint along meridian, selecting acupoint from the local area and selecting acupoints from yang meridian. Shangxing （GV 23）, Yingxiang （LI 20） and Hegu （LI 4） can be the basic acupoints for treating nasal conditions.

Clinical effect observation on acupuncture for chronic obstructive pulmonary disease

Objective： To observe the clinical effect of acupuncture on chronic obstructive pulmonary disease （COPD）, and the improvements of patients＇ pulmonary ventilation function and 6-minute walk test （6-MWT） distance. Methods： A total of 80 COPD patients [grade 3-4 in Global Initiative for Chronic Obstructive Lung Disease （GOLD）, qi deficiency of the lung and kidney in traditional Chinese medicine （TCM） pattern] were randomly allocated into a treatment group （n=40） and a control group （n=40）. Salmeterol Xinafoate and Fluticasone Propionate powder （Seretide, 50 μg/250 μg） for inhalation was used for basic treatment in both groups （once in the morning and once in the evening）. Patients in the treatment group received acupuncture at Feishu （BL 13）, Shenshu （BL 23）, O.ihai （CV 6）, Guanyuan （CV 4）, Dingchuan （EX-B 1）, Danzhong （CV 17） and Zusanli （ST 36] twice a week for 3 months. After 3 months of treatment, clinical effects, lung ventilation functions and 6-MWT distance were observed and compared in the two groups. Results： After 3 months of treatment, the total effective rate was 95.0% in the treatment group, versus 80.0% in the control group, showing a statistical difference （P〈O.05）; the phlegm expectoration, dyspnea and shortness of breath were more significantly improved in the treatment group than those in the control group （P〈0.01, P〈0.05）; and the 6-MWT distance and forced expiratory volume in 1 second percentage of predicted value （FEV1%） were more significantly improved in the treatment group than those in the control group （P〈0.05, P〈0.01）. Conclusion： Seretide inhaler combined with acupuncture can improve signs and symptoms in COPD patients, increase the 6-MWT distance, imorove FEV1% and obtain better results than Seretide alone.

Clinical Observation of Combined Acupuncture and Herbs in Treating Chronic Pelvic Inflammation

Objective： To observe the clinical efficacy of combined acupuncture and herbs in the treatment of chronic pelvic inflammation. Methods： Eighty-eight cases of chronic pelvic inflammation were randomized into two groups. Treatment group （45 cases） was treated by combined acupuncture and herbs, control group （43 cases） was treated by Fu Ke Qian Jin Jiao Nang （Female Herbal Capsule）. Results： After 3 menstrual cycles of treatments, in treatment group, 28 cases were cured, 9 cases got marked effect, 4 cases got effect, 4 cases were failure, and the total effective rate was 91.1%; in control group, 7 cases were cured, 8 cases got marked effectiveness, 15 cases got effectiveness, 13 cases were failure, and the total effective rate was 69.8%. The total effective rate was higher in treatment group than in control group （P〈0.05）; in the six-month survey, the relapse rate was lower in treatment group than in control group （P〈0.01）. Conclusion： Combined acupuncture and herbs is effective for chronic pelvic inflammation, with fewer relapses.

Clinical Study on Treatment of Biliary Colic with Midnight-Noon Ebb-Flow Day-Prescription of Acupoints

Objective： To observe the clinical effect of midnight-noon ebb-flow day-prescription of acupoints on biliary colic. Methods： 60 cases with biliary colic were randomized into two groups, 30 cases in each group. Day-prescription of five transport points was employed in the treatment group, while point selection based on pattern identification was employed in the control group. Results： The pain-killing rates between the two groups had no statistical differences （P〉0.05）. Conclusion： Day-prescription of acupoints can obtain similar pain-killing effect with point selection based on pattern identification, but with less points and treatments.

Clinical Study on Combined Acupuncture with Chinese Medicine for Infertility Due to Hydrosalpinx

Objective：To observe the clinical effect of combined electroacupuncture with Chinese medicine for infertility due to hydrosalpinx.Methods：A total of 114 cases were randomly allocated into 3 groups,an observation group of 38 cases treated by combined electroacupuncture with oral administration of Chinese medicine and medicinal fumigation,a combined acupuncture and Chinese medicine group of 38 cases treated by electroacupuncture and oral administration of Chinese medicine,and a Chinese medicine group of 38 cases treated by oral administration of Chinese medicine and medicinal fumigation.The cases were treated for 1-3 sessions.After each session of treatment,conduct ultrasound examination after menstruation to observe the condition of hydrosalpinx,and continue with next session for those with hydrosalpinx retention.Results：The therapeutic efficacy of the observation group was significantly different from that of the combined acupuncture with Chinese medicine group and the Chinese medicine group （P0.05）.Conclusion：Combined acupuncture with Chinese medicine can obtain obvious effect in treating hydrosalpinx.

Study of the Specificity of Lumbosacral Points in Regulating Unstable Bladder

Objective： To investigate the effects of acupuncture of Shenshu （BL 23）, Huiyang （BL 35） and Shenshu （BL 23） plus Huiyang （BL 35） on the main symptoms of unstable bladder （USB） and explore the specificity of different points in treating USB through a clinical randomized controlled trial. Methods： Eighty-nine USB patients were allocated to three groups： Shenshu （BL 23）, Huiyang （BL 35） and Shenshu （BL 23） plus Huiyang （BL 35）. I-PSS was used as an observation index. The effects were evaluated and a comparison was made between the groups after three and six treatments. Results： I-PSS significantly improved in all Shenshu （BL 23）, Huiyang （BL 35） and Shenshu （BL 23） plus Huiyang （BL 35） groups of USB patients （P〈0.05）. The effect was significantly better in the Huiyang （BL 35） and Shenshu （BL 23） plus Huiyang （BL 35） groups than in the Shenshu （BL 23） group （P〈0.05）. The efficacy rate was 50.0% in the Shenshu （BL 23） group, 82.8% in the Huiyang （BL 35） group and 90.0% in the Shenshu （BL 23） plus Huiyang （BL 35） group. It was significantly higher in the Huiyang （BL 35） and Shenshu （BL 23） plus Huiyang （BL 35） groups than in the Shenshu （BL 23） group （P〈0.05）. Conclusion： Points Shenshu （BL 23）, Huiyang （BL 35） and Shenshu （BL 23） plus Huiyang （BL 35） can all regulate voiding dysfunction and improve quality of life in USB patients. Shenshu （BL 23） plus Huiyang （BL 35） has the most marked therapeutic effect.

Effect of electroacupuncture on expressions of acetylcholine and mucin 5AC in the lungs of rats with chronic obstructive pulmonary disease

Objective： To observe the effect of electroacupuncture （EA） on the expressions of acetylcholine （ACh） and mucin 5AC （MUC5AC） in the lungs of rats with chronic obstructive pulmonary disease （COPD）, and explore the mechanism of EA in treating COPD. Methods： Thirty Sprague-Dawley （SD） rats were randomly divided into a control group, a COPD group, and an EA group, with 10 rats in each group. The control group was a group of normal rats. The COPD rat model was induced by cigarette smoke combined with lipopolysaccharide （LPS）. The COPD rats were treated with EA at bilateral Feishu （BL 13） and Zusanli （ST 36） in the EA group, 30 rain each time, once a day, successively for 14 d. The lung function was tested. The contents of ACh and MUC5AC in lungs and bronchoalveolar lavage fluid （BALF） were detected by enzyme-linked immunosorbent assay （ELISA）. Pearson method was used to analyze the correlation between pulmonary function and the content of MUC5AC in lungs. The mRNA and protein expressions of MUC5AC in lung tissues were detected by real-time polymerase chain reaction （RT-PCR） and Western blot （WB）, respectively. The immune response of MUC5AC was observed by immunohistochemistry. Results： Eight rats were left in each group, and the other two died. Compared with the control group, the total airway resistance （Raw） increased significantly and dynamic compliance （Cdyn） decreased significantly in the COPD group （P〈0.01）; compared with the COPD group, the Raw level declined significantly and Cdyn increased significantly in the EA group （P〈0.01）. The contents of ACh and MUC5AC in the lungs and BALF were remarkably higher in the COPD group compared with those in the control group （P〈0.01, P〈0.001）; compared with the COPD group, the contents of ACh and MUC5AC were significantly lower in the EA group （P〈0.05, P〈0.001）. There was a negative correlation between MUC5AC content and lung function （P〈0.001）. The mRNA and protein expressions of MUC5AC in the lungs were significantly higher in the COPD group than in the control group （P〈0.001）; compared with the COPD group, the expressions were significantly lower in the EA group （P〈0.01）. Compared with the control group, the immune response of MUC5AC in the airway epithelium significantly increased in the COPD group （P〈0.001）; the immune response of MUC5AC was significantly lower in the EA group compared with that in the COPD group （P〈0.001）. Conclusion： EA treatment can improve the lung function of COPD rats, which may be related to its effect in the down-regulation of ACh and MUC5AC contents in the lungs as well as the inhibition of mucus hypersecretion.

Clinical Study on Deep Insertion at Tianshu (ST 25) for Colonic Slow Transit Constipation

Objective：To observe the clinical effect of deep insertion at Tianshu（ST 25）for colonic slow transit constipation（STC）.Methods：120 cases of STC patients were randomly divided,60 cases in a deep insertion group,30 cases in an electroacupuncture group and 30 cases in a medication group by 2：1：1 ratio.The deep insertion group was treated with deep insertion at Tianshu（ST 25）.The electroacupuncture group was treated with routine insertion at Tianshu（ST 25）.The medication group was treated with oral administration of Lactulose oral liquid.The first voluntary defecation time,and constipation scores before the treatment,four weeks after the treatment and relevant scores of clinical symptoms were assessed in the three groups of the patients.Results：The scores of the clinical symptoms in improvement of constipation were better in the deep insertion group than in the electroacupuncture group and medication group,with differences in statistical significance（P〈0.01）.The unsuccessful numbers in the improvement of defecation and abdominal pain were also better in the deep insertion group than in the other two groups,and better in instant effect in the deep insertion.Conclusion：The improvement of STC clinical symptoms was better by deep insertion at Tianshu（ST 25）than by medication and routine acupuncture method at Tianshu（ST 25）.

Five Proven Cases Treated with Acupuncture Therapy

Acupuncture theory is of long history,and is broadand profound.The author used traditional acupuncturetheory to guide clinical practice,and reachedsatisfactory therapeutic effects.Now five cases wereintroduced as follows.

Brief introduction to Professor Gao Wei-bin's needling technique of ‘Ten Acupuncture Skills'

‘Ten Acupuncture Skills＇ refers to ten types of needling techniques for difficult and intractable neurological diseases. It has been summarized by Prof. Gao Wei-bin, a famous traditional Chinese medicine expert in China, based upon his clinical experience for years, including neck acupuncture for bulbar palsy, neck acupuncture for laryngeal muscular paralysis, stuck needling technique for ocular muscular paralysis, electric field therapy at Jiaji（EX-B 2） points for incomplete spinal paraplegia, electroacupuncture（EA） for urination disorder, electric neck acupuncture for waking up and treating various cerebral and nuchal diseases, EA at Jiaji（EX-B 2） points for intractable hiccup, EA at Jiaji（EX-B 2） points for cervical and lumbar spondylopathy, antagonistic EA for post-apoplectic hemiplegia, and EA for facial paralysis. The ten acupuncture skills are summarized in order to guide the clinical application.

Observation on lower-reinforcing and upper- reducing acupuncture method for hyperplasia of mammary gland and its influence on estradiol and progesterone

Objective： To observe the clinical effect of lower-reinforcing and upper-reducing acupuncture method for hyperplasia of mammary gland （HMG） and its influence on estradiol （E2） and progesterone （P）. Methods： A randomized, single-blinded and controlled trial was conducted. A total of 124 cases conforming to the inclusion criteria were randomized by random number table into a treatment group and a control group, with 62 cases in each group. Patients in both groups received acupuncture therapy at the same acupoints, while patients in the treatment group received lower-reinforcing and upper-reducing method, and patients in the control group received even reinforcing-reducing manipulation. The treatment started around 10 d before menstruation and was conducted every other day. Patients received 5 treatments in each menstruation cycle for consecutive 3 cycles. The levels of E2, P and E2/P and clinical efficacy were measured before and after treatment. Results： After treatment, the breast lump size, pain intensity and concomitant symptoms score in both groups were substantially lower than those before treatment, showing statistical significances （all P〈0.01）, and the improvement in the treatment group was higher than that in the control group, and the between-group comparisons showed statistical significances （all P〈0.01）. After treatment, the overall effective rate was 91.9% in the treatment group, higher than 72.6% in the control group, and the between-group comparison showed a statistical significance （P〈0.01）. After treatment, levels of E2, P and E2/P value showed no statistical significance when compared with those before treatment in the two groups （all P〉0.05）. Conclusion： Lower-reinforcing and upper-reducing acupuncture method can effectively alleviate clinical symptoms and signs in HMG patients, and produce a better effect than even reinforcing-reducing manipulation. The majority of HMG patients＇ E2, P level and E2/P value were not beyond the normal ranges; therefore, acupuncture showed no substantial influence on E2 and P levels and E2/P value.

Structured Literature Review of Acupuncture Treatment for Peripheral Neuropathy

Objective： To summarize existing evidence on acupuncture treatment for peripheral neuropathy （PN） and potentially generate a meta-analysis by performing a structured literature review. Methods： Literature searches were conducted on 11 databases. All identified clinical studies of acupuncture and electroacupuncture for peripheral neuropathy due to diabetes, chemotherapy, human immunodeficiency virus （HIV） and unknown cause were included. Study criteria such as sample size, randomization, controls, blinding, acupuncture patterns and outcome measurements were examined for the requirements of the meta-analysis. Results： Among the 26 studies included, no high quality randomized clinical trial was found. There were methodical limitations in all studies. Small sample size was found in 9 studies, lack of randomization in 25, lack of controls in 8, inadequate controls in 11, and lack of blinding in 24 studies, as well as a high variability of acupuncture patterns and outcome measurements. Conclusion： Nearly all acupuncture pilot studies on peripheral neuropathy give positive results encouraging further investigation, but a meta-analysis is not possible on the existent data. Randomized, controlled, blinded clinical trials with adequate design and significance still have to be performed.